Department of Mechanical and Aerospace Engineering

 

 

ABSENCE FROM CAMPUS

 

FOR TRAVEL 7 DAYS OR LESS WITHIN THE USA or INTERNATIONALLY.

FOR TRAVEL EXCEEDING 7 DAYS, FORM UCI-AP-76 IS REQUIRED, PLEASE GO TO:

 http://www.ap.uci.edu/Forms/APforms/UCI-AP-76.pdf

 

Name:                                                                        Date:                                        

 

 

DATE(S) ABSENT FROM CAMPUS:

 

 

Departure Date:                          Time:                              

Return Date:                                Time:                             

                                           

Destination:                                                                                                                                       

 

Phone:                                                                                                                                        

 

Contact:                                                                                                                                    

 

Purpose:                                                                                                                                     

 

Course(s) you are currently teaching:                        Date/Time?                                        

Course(s) you are currently teaching:                         Date/Time?                                        

 

How will the students be notified of your absence?

 

Email Post Note in Class Other     

 

Who will notify the students?                                                                                               

 

How will the class(s) be covered?                                                                                          

 

                                                                                                                                                                                                 

 

 

Signature:                                                                    Date:                                               

                         Faculty

 

Approval                                                                       Date:                                                  

                   Department Chair

 

 

 

Please hand-deliver the completed form to Marcia or Tiffany BEFORE your departure.                                                                    Revised 10/14